Active NPI
Jean C De Santiago
- Registered Nurse
- Bayamon, PR
National Provider Identifier
1194591776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 90782
- Practice address
- Ave. Laurel, Esq. Ave. Los Millones
Urb. Santa Juanita,
Bayamon, PR 00956 - Phone
- (787) 995-5200
- Fax
- (787) 787-4343
- NPI assigned
- Nov 27, 2023
- Last updated
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 90782 | PR | Primary |
Addresses
Primary practice location
Ave. Laurel, Esq. Ave. Los Millones
Urb. Santa Juanita,
Bayamon, PR 00956
Mailing address
Ave. Laurel, Esq. Ave. Los Millones
Urb. Santa Juanita,
Bayamon, PR 00956
Phone (787) 995-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90782 | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1194591776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE. LAUREL, ESQ. AVE. LOS MILLONES",
"address_2": "URB. SANTA JUANITA,",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-995-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. LAUREL, ESQ. AVE. LOS MILLONES",
"address_2": "URB. SANTA JUANITA,",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-995-5200",
"fax_number": "787-787-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE SANTIAGO",
"first_name": "JEAN",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "90782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.